Skipwith Academy Learning Center - Woodlake (#41)

22.1-289.035-B-1

“The center is required to obtain a completed sworn statement prior to the employee’s first day of employment. The sworn statement for Staff #1, working for more than two weeks, was completed during the inspection.”

Rule 22.1-289.035-B-1.

8VAC20-780-130-E

“The center shall obtain documentation of additional immunizations once every six months for children under the age of two years. The record for Child #6, 15 months of age, last documented immunization was overdue by 9 months.”

Rule 8VAC20-780-130-E.

8VAC20-780-280-B

“Hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children. Cleaning chemicals were located in an unlocked cabinet in Classroom A and Classroom B. There were six children in Classroom A and nine children in Classroom B during the inspection.”

Rule 8VAC20-780-280-B.

8VAC20-780-60-A-8

“A written care plan is required for each child with a diagnosed food allergy, to include instructions from a physician regarding the food to which the child is allergic and the steps to be taken in the event of a suspected or confirmed allergic reaction. Child #6, who has been enrolled for eight months, has a diagnosed food allergy and did not have a written care plan in their file.”

Rule 8VAC20-780-60-A-8.

8VAC20-780-340-A

Rule 8VAC20-780-340-A. From a complaint.

8VAC20-780-130-A

“The center shall obtain documentation that each child has received the immunizations required by the State Board of Health before the child can attend the center. The immunization record for Child #5 was obtained one month after the child began attending the center.”

Rule 8VAC20-780-130-A.

8VAC20-780-280-B

“Hazardous substances must be in a locked place that prevents access by children. Disinfectant wipes and spray were unlocked on Bus #1. Attendance records indicated children were transported on Bus #1 to a nearby public school the morning of 02/26/2025.”

Rule 8VAC20-780-280-B.

8VAC20-780-580-B

“Any vehicle used by the center for the transportation of children shall meet the safety standards set by the Department of Motor Vehicles and shall be kept in satisfactory condition to assure the safety of children. The inspection sticker for Bus #2 expired the previous month. The attendance roster indicated four children were transported in Bus #2 on 02/26/2025.”

Rule 8VAC20-780-580-B.

8VAC20-780-60-A

“Centers must keep a separate record for each child enrolled that contains all of the required information. The record for Child #8 (enrolled two days) did not contain the name, address and phone number for one of two designated people other than parents to contact in case of an emergency.”

Rule 8VAC20-780-60-A.

Based on a review of two staff records and interview, the center did not ensure to request an out-of-state child abuse and neglect background check for two staff members by the end of the 30th date of employment from any state in which the individual had resided in the preceding five years as required.

“Evidence: 1. The records of Staff #1 (date of employment: 05/28/2024) and Staff #2 (date of employment: 03/26/2024) contained a sworn statement that indicated that the staff resided out of state within the preceding 5 years. The record did not contain a central registry request for the state listed. 2. Administration acknowledged that the request was not in the record and had not been completed.”

Rule 22.1-289.035-B-4. From a complaint.

Based on interviews, the center failed to ensure that behavioral guidance shall be constructive in nature, age and stage appropriate, and shall be intended to redirect children to appropriate behavior.

“Evidence: Staff #2 stated the following: She told the children to, sit your booties down. She did not follow this with other directions to redirect to appropriate behavior.”

Rule 8VAC20-780-400-B. From a complaint.

Based on interviews, the center failed to ensure that roughly handling a child is forbidden.

“Evidence: Staff #2 stated the following: She picked up child #1 under arms put him in chair and he did cry after I picked him up. I can get loud with kids. I don’t remember slamming child in his seat. I could have been more gentle.”

Rule 8VAC20-780-410-1. From a complaint.

Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“Evidence: 1. In room #11, one toilet paper holder was broken and off the wall. 2. The administrator acknowledged that the toilet paper holder was broken.”

Rule 8VAC20-780-270-A.

Based on observation, the center did ensure that a leakproof or plastic-lined storage system that is either foot-operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal.

“Evidence: In room #11, one disposable diaper / pull up was sitting on top of the trash in a trash can in the classroom.”

Rule 8VAC20-780-500-B.

Based on review of medications and medication documentation, the center did not ensure that prescription medication was administered as required.

“Evidence: Medication authorizations were reviewed for child B. The center did not obtain written authorization from parent or guardian to administer prescription medication. Child B was administered medication on 2/07/24, 2/08/24, 2/08/24, and 2/09/24.”

Rule 8VAC20-780-510-I.

REPEAT VIOLATION Based on a review of children’s records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within one month after attendance.

“Evidence: The record for child #9 (enrolled 08/22/22) did not have a physical examination.”

Rule 8VAC20-780-140-A.

Based on observation, the center did not ensure areas and equipment of the center, inside and outside, shall be maintained in a clean, safe and operable condition.

“Evidence: 1. In room #3 a hole in the wall with a box inside of it, had a screw protruding out of the box that could entangle clothing or snag skin. The area on the wall was in reach of children. 2. n rooms #4, #5, #6, #7, #9, and #10 had chipped and peeling paint on the walls within reach of children.”

Rule 8VAC20-780-270-A.

REPEAT VIOLATION Based on observation and interview, the center did not maintain a staff to children ratio of 1:4 for infants, children birth up to 16 months.

“Evidence: 1. In room #1, at approximately 9:40 AM on August 8, 2023, one staff was observed with six infants. Staff stated that the room had been over ratio for “about 30 minutes”. At 9:45 AM another staff member arrived to assist.”

Rule 8VAC20-780-350-B-1.

Based on observation, the center did not ensure the diapering area contained a leakproof or plastic-lined storage system that is either foot operated or used in such a way that neither the staff member’s hand nor the soiled diaper touches an exterior surface of the storage system during disposal.

“Evidence: In between room #3 and room #4, diapers were disposed in a swing top trash can.”

Rule 8VAC20-780-500-B.

Based on observation and interview, the provider failed to notify a parent after a medication authorization expired that the medication needed to be picked up within 14 days, and then dialed to dispose of medications that were not picked up.

“Evidence: A prescription emergency medication (AuviQ) was observed for a child with allergies. The AuviQ expired February 2023. A member of management acknowledged that the prescription medication had expired and the parent was not notified.”

Rule 8VAC20-780-510-P.

Based on a review of documentation and interviews, the center did not ensure that when staff are supervising children, they shall always ensure their care, protection and guidance.

Rule 8VAC20-780-340-A. From a complaint.

Based on interviews, the center did not ensure children under 10 years of age shall be within sight and sound supervision of staff.

Rule 8VAC20-780-340-F. From a complaint.

Based on review of documentation and interviews, the licensee failed to ensure operational responsibilities that the center’s activities, services, and facilities are maintained in compliance with the center’s own policies and procedures required by the standards.

Rule 8VAC20-780-40-E. From a complaint.

Based on record review, two staff records did not have documentation of an updated central registry finding every five years from the date of the most recent central registry finding.

“Evidence: 1. The record for staff #5, (prior central registry finding 2/17/17) had documentation of an updated central registry finding on 5/11/22. An updated central registry finding was required by 2/17/22. 2. The record for staff #6, (prior central registry finding 3/06/17) had documentation of an updated central registry finding on 5/11/22. An updated central registry finding was required by 3/06/22.”

Rule 22.1-289.035-A.

Based on a review of children’s records, the provider did not ensure each record contained additional immunizations once every six months for children under the age of two years.

“Evidence: 1. The record for child #5, (start date: 9/07/21) had one immunization record documented on 7/30/21. Upon enrollment child #5, was under two years of age and no additional immunizations were obtained. 2. The record for child #6, (start date: 10/11/21) had two immunization records documented on 9/28/21 and 8/22/22. Child #6, is under two years of age and documentation of additional immunizations shall be once every six months for children under the age of two years.”

Rule 8VAC20-780-130-E.

Based on a review of children’s records, the center did not ensure that each child shall have a physical examination by or under the direction of a physician before the child’s attendance or within one month after attendance.

“Evidence: The records for child #5 (start date: 9/07/21) and child #7 (start date: 8/22/22), did not have a physical examination within the required timeframe.”

Rule 8VAC20-780-140-A.

Based on observation, the center did not ensure that all hazardous substances such as cleaning materials, insecticides, and pesticides shall be kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. In room #3, one container of multi surface cleaner was sitting on a child size chair in the classroom accessible to children. 2. In room #5, one container of Febreze labeled, “Warning” and “Keep Out of Reach of Children” and one container of Clorox wipes, labeled “Caution” and Keep Out of Reach of Children” were located in an unlocked container next to the diaper changing table. The inspector did not observe diapering at the time the hazardous substances were observed.”

Rule 8VAC20-780-280-B.

Based on observation and interview, the center did not maintain a staff to children ratio of 1:4 for infants, children birth up to 16 months.

“Evidence: 1. In room #1, at approximately 1:00 PM on 11/16/22, one staff was observed with 5 infants. 2. In room #2, staff #10 was observed with 9 infants. Staff #10 and staff #11, reported that room #2 had been out of ratio during a teachers lunch break.”

Rule 8VAC20-780-350-B-1.

Based on observation and an interview, the center did not ensure medication, except for those prescriptions designated otherwise by written physician’s orders, including refrigerated medication and staff’s personal medication, were kept in a locked place using a safe locking method that prevents access by children.

“Evidence: 1. A shared closet in-between room #3 and room #4, had one bottle of Tylenol Extra Strength on a shelf. The closet door from room #3 and room #4 were unlocked.”

Rule 8VAC20-780-510-L.